| Otylia Primary Care | |
|
4913 Raleigh Common Dr Ste 201 Memphis TN 38128-2485 | |
| (901) 878-3366 | |
| (901) 492-4941 |
| Full Name | Otylia Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 4913 Raleigh Common Dr Ste 201, Memphis, Tennessee |
| Authorized Official Name and Position | Krzysztof Tyszka (OWNER) |
| Authorized Official Contact | 9018783366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Otylia Primary Care 4913 Raleigh Common Dr Ste 201 Memphis TN 38128-2485 Ph: (901) 878-3366 | Otylia Primary Care 4913 Raleigh Common Dr Ste 201 Memphis TN 38128-2485 Ph: (901) 878-3366 |
| NPI Number | 1447805213 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 08/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447805213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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